FINISH MS®

2022 Finish MS: Falmouth Road Race Application

1. Please provide us with your contact information.

Field Is Required First

Field Is Required Last

Field Is Required Date of Birth:

Field Is Required Gender Identity:

Field Is Required Street 1:

Street 2:

Field Is Required City/Town:

Field Is Required State/Province

Field Is Required ZIP / Postal Code:

Country:

Field Is Required Email:

Field Is Required Phone Number:

Yes, I would like to receive important e-mail updates from the National MS Society.

Yes, I would like to receive important postal mail updates - including event announcements - from the National MS Society.

2. Field Is Required Is the address you provided your home or business address? Please note: If you used a business address your company name must be included in the Street 2 field. We cannot guarantee you will receive mail at your business address if your company name is not provided.

3. Field Is Required Employer:

4. Job Title:

5. Does your company have an employee matching gifts program? Use the following link to see if your company does offer a matching gift program: www.nationalmssociety.org/employermatch

6. Field Is Required All applicants accepted to the team will receive a link to register online and must be prepared to pay a $25 nonrefundable deposit to confirm registration. Are you prepared to make this deposit, if accepted?

7. Field Is Required Have you ever raised funds for a charity organization through an endurance event?

8. If so, for which event and which charity? How much money did you raise? (Maximum response 255 chars, approx. 5 rows of text)

9. Field Is Required If accepted to the team, what will your fundraising goal be? There is a fundraising minimum of $1,000 for participants.

10. Field Is Required Have you participated in a road race or other endurance event? (Check all that apply) Please make between 1 and 3 selections from the choices below.

Yes - a road race
Yes - other endurance event
None of the above

11. If so, which ones? (Maximum response 255 chars, approx. 5 rows of text)

12. Field Is Required Please list any previous involvement with the National MS Society. (Maximum response 255 chars, approx. 5 rows of text)

13. Field Is Required How did you learn about the National MS Society's Finish MS program? (Maximum response 255 chars, approx. 5 rows of text)

14. Field Is Required What is your connection to MS? (Please select the one that best applies to you)

15. Field Is Required Please share your story with us. Why do you want to run with the team and how did you choose us as your charity of choice? (Provided information will not be viewed or printed outside of staff members reviewing applications.) (Maximum response 255 chars, approx. 5 rows of text)

16. Please provide us with any additional information you may want us to consider while reviewing your application: (Maximum response 255 chars, approx. 5 rows of text)

Please contact Christine.heady@nmss.org with any questions. We receive many inquiries and appreciate your patience with our response.

2022 Finish MS: Falmouth Road Race Application

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My {{eventType}} MSFundraising